AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (155)

•Diagnostic Errors (116)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (348)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (928)

•Medical Complications (414)

•Nonsurgical Procedural Complications (79)

•Surgical Complications (516)

•Transfusion Complications (17)

•Psychological and Social Complications (133)

Origin/Sponsor

•Africa (4)

•Asia (33)

•Australia and New Zealand (90)

•Central and South America (6)

•Europe (368)

•North America (3080)

Resource Types

•Clinical Guideline (3)

•Journal Article (2552)

•Legislation/Regulation (56)

•Meeting/Conference (43)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (360)

•Press Release/Announcement (31)

•Special or Theme Issue (83)

•Tools/Toolkit (53)

•Web Resource (108)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (672)

•Active Errors (437)

•Latent Errors (202)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (1010)

•Legal and Policy Approaches (446)

•Error Reporting and Analysis (988)

•Communication Improvement (887)

•Human Factors Engineering (587)

•Teamwork (454)

•Specialization of Care (249)

•Logistical Approaches (262)

•Culture of Safety (843)

•Technologic Approaches (676)

•Education and Training (769)

Clinical Areas

•Allied Health Services (14)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (249)

•Nurse Managers (221)

•Risk Managers (337)

•Quality and Safety Professionals (1281)

Setting of Care

•Hospitals (2198)

•Psychiatric Facilities (15)

•Residential Facilities (77)

•Ambulatory Care (264)

•Outpatient Surgery (41)

•Patient Transport (25)

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SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

J Interprof Care. 2006;20:455-571.

BOOK/REPORT

Safe Surgery Guide.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.

STUDY

A human factors curriculum for surgical clerkship students.

Cahan MA, Larkin AC, Starr S, et al. Arch Surg. 2010;145:1151-1157.

SPECIAL OR THEME ISSUE

Patient Safety and Quality.

Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

COMMENTARY

Patient safety in women's health care: a framework for progress.

Gluck PA. Best Pract Res Clin Obstet Gynaecol. 2007;21:525-36.

MEETING/CONFERENCE PROCEEDINGS

2010 Annual National Patient Safety Foundation Congress: conference proceedings.

Pinakiewicz DC, Bonacum D, Youngberg BJ, Stepnick L, Shah M. J Patient Saf. 2010;6:128-136.

STUDY

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

Braithwaite J, Westbrook MT, Robinson M, Michael S, Pirone C, Robinson P. BMJ Qual Saf. 2011;20:424-431.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

STUDY

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM 3rd. Ann Thorac Surg. 2007;83:1412-1418; discussion 1418-1419.

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